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BLD2023-1599+Application+12.13.2023_2.42.08_PM+3951191CITY OF EDMONDS Building Application #1415924 - Spence Applicant First Name Last Name Austin Anderson i MyBuitdingPermit.com Company Name Villaqe Life Number Street Apartment or Suite Number E-mail Address 19020 33rd Ave W 450 austin(L village-life.net City State Zip Lynnwood WA 98036 Contractor Company Name SIGNATURE HMS BY VILL LIFE LLC Number Street 19020 33RD AVE W Suite 450 City State Zip LYNNWOOD WA 98036 State License Number License Expiration Date UBI # SIGNAHV788NC 8/2/2024 602977522 Project Location Phone Number Extension (425) 678-1465 Apartment or Suite Number Phone Number Extension (425) 778-4111 E-mail Address austin(aD_villagedife.net Number Street Floor Number Suite or Room Number 17606 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00513600000102 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Duncan Spence Number Street Apartment or Suite Number 701 DALEY ST City State Zip EDMONDS WA 98020-3025 Certification Statement - The applicant states: certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 12/13/2023 Submitted By: Austin Anderson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1415924 - Spence Project Contact Company Name: Village Life Name: Austin Anderson Email: austin@village-life.net Address: 19020 33rd Ave W 450 Phone #: (425) 678-1465 Lynnwood WA 98036 Project Type Single Family Residential Activity Type New Construction Project Name: Spence Description of Work: construct new 3874 sqft house Project Details Structure Type Single Family Dwelling Project Information Square Feet - Floor 1 Square Feet - Floor 2 Total Bedrooms Square Feet - Garage Total Bathrooms Total Dwelling Units Critical Area Information None Contact Information Owner Email Address 1,801 2,073 5 594 4 1 austin@village-life.net Scope of Work Residence Page 2 of 2